Poly-l-Lactic Acid (PLLA)

Poly-l-lactic Acid injections are a new concept in injectable cosmetics that have been described as combining the best attributes of both traditional dermal fillers and of skin boosters. By stimulating the natural function of fibroblasts within the dermis to produce collagen they help restore facial skin structure and produce a long lasting effect to firm and smooth fine lines and wrinkles, whilst improving skin glow and tightness. This natural process avoids drastically altering your appearance whilst bringing out the best version of you, with results that have been shown to still be visible in 95% of patients at 2 years.

Frequently Asked Questions

Poly-L-lactic acid fillers, more commonly known as PLLA fillers or under the brand name ‘Sculptra’, are a synthetic and bio-stimulatory dermal filler ideal for patients presenting with significant volume loss, skin laxity and sun-damaged skin. It differs from traditional dermal fillers in that it produces its effect by stimulating a reaction from the body to regenerate itself rather than being an inert substance that fills a space. As such they don’t produce results instantly, but do last for significantly longer, with trials showing the benefits lasting for up to 3 years. PLLA fillers act by dispersing biocompatible granules throughout the dermis which stimulate dermal fibroblasts, contributing to the production of new collagen in the skin and restoring facial and body volume loss.

Prior to receiving a treatment with Tu Aesthetica, you will be required to have a face-to-face consultation with an aesthetic doctor. They will assess your medical history, discuss your wants and needs, and devise a personalised treatment plan. They will also make clear the risks and benefits of the treatments, give you the opportunity to ask any questions you have, and together you will decide if the treatment is right for you. You will also be required to have photographs taken for insurance purposes prior to any procedure.

Before undergoing PLLA treatment your aesthetic doctor will assess your anatomy and clean the area to be treated with a sterilising solution. They may wish to mark the injection sites according to your individual anatomy and will inject at those specific locations on your face.

Once consent has been obtained and photographs taken, the procedure itself will take around 20 minutes.

The procedure typically involves injecting through blunt ended cannulae that are passed through a small number of holes made by a needle and the cannulae are manipulated under the skin into the required position. This is generally uncomfortable rather than painful and is usually easily tolerated.

The downtime following PLLA treatment is minimal, and you should be able to return to your normal daily activities immediately after your procedure.  However, we recommend that you avoid physical strain and sports on the first day after the treatment, and don’t have a sauna or steamy bath for the first few days.  Avoiding the sun and UV light is also highly recommended for the first few days post-treatment.

A course of treatments consisting of up to four sessions spaced over a few months may be required for optimal results. In comparison to more traditional, hyaluronic acid dermal fillers, PLLA fillers give results that emerge gradually over time but are much longer lasting. Results typically develop over the course of a few months as PLLA fillers stimulate your body to produce collagen which can be a lengthy yet rewarding process, rather than traditional dermal fillers that simply fill space.

Visible improvements can last as much as 3 years, with a recommendation for a single dose top-up treatment every year in order to maintain results for an extended period. 

Ensuring your safety and delivering effective results is our top priority. PLLA is considered a safe skin regeneration treatment, backed by a large body of scientific evidence. There is likely to be an element of redness, soreness, swelling and possibly bruising due to the injections, but any significant reactions are rare.

Treatment with PLLA and other injectable aesthetic treatments are still largely unregulated in the UK, allowing for wide variation in the qualifications and experience of practitioners and the standard of treatment provided to patients.

At Tu Aesthetica your safety is our number one priority, and therefore, with us you will only have your injections performed by a currently practising, GMC registered, UK-trained doctor. Our doctors engage in regular training to remain current, skilled, and professional in the treatments they provide. All of our Doctors work within the NHS and undergo regular appraisal and revalidation.

It is important that you feel comfortable with your doctor, not only in their ability and knowledge, but also on a personal level. We encourage all our patients to carefully research the practitioner offering them treatment, and only to make an informed decision on proceeding with treatment once they are comfortable with their experience, their qualifications, and their manner.

PLLA is injected in accordance with the clinical assessment of your aesthetic doctor based on the degree of volume loss and the size of the area needing treatment. As such the treatment packages are priced based on the amount of PLLA required, the amount of time and skill needed to inject those specific areas, and the number of treatment sessions.